Vertebral subluxation
(Redirected from Joint dysfunction)
Concept in chiropractic
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Vertebral subluxation is a term used by some chiropractors to describe a purported misalignment of the spine that is claimed to affect nervous system function and general health. The concept is controversial and not widely accepted in the medical community.
History
The concept of vertebral subluxation originated with Daniel David Palmer, the founder of chiropractic, in the late 19th century. Palmer believed that misalignments of the spine could interfere with the body's innate ability to heal itself. This idea became a central tenet of chiropractic philosophy.
Definition
In chiropractic, a vertebral subluxation is defined as a complex of functional and/or structural and/or pathological articular changes that compromise neural integrity and may influence organ system function and general health. However, the definition and significance of vertebral subluxations vary among chiropractors.
Scientific Evidence
The existence of vertebral subluxations as a cause of disease is not supported by scientific evidence. Most medical professionals regard the concept as pseudoscientific. Studies have not demonstrated that spinal adjustments can cure or prevent disease, although some patients report relief from back pain and other musculoskeletal issues.
Chiropractic Treatment
Chiropractors who adhere to the vertebral subluxation theory often use spinal manipulation or adjustments to correct these subluxations. The goal is to restore proper alignment and improve nervous system function. Techniques vary, but they generally involve applying controlled force to the spine.
Criticism and Controversy
The concept of vertebral subluxation has been criticized for lacking empirical support and for being used to justify unnecessary treatments. Critics argue that the focus on subluxations detracts from evidence-based practices in chiropractic care. Some chiropractors have moved away from the subluxation model, focusing instead on musculoskeletal health and pain management.
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Contributors: Prab R. Tumpati, MD